ED Scribe - FINAL EXAM QUESTIONS AND ANSWERS

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ED Scribe - FINAL EXAM QUESTIONS AND ANSWERS ALREADY PASSED Medical Decision Making (MDM) The physician's thought process Pain vs. Tenderness Patient's feeling vs. physician's assessment What does dis ... tress mean? The doctor's judgment of discomfort Baseline An individual's normal state of being What does Auscultation mean? Listening with a stethoscope Palpation The act of pressing on an area by the doctor Inpatient Admitted to the hospital overnight Outpatient Seen and sent home the same day What is the ED flow (overview)? 1. Check in and Chief Complaint 2. Physician assessment 3. Objective orders and results 4. Medical Decision Making 5. Disposition What is the ED flow before orders are made? 1. Arrival 2. Triage 3. Vital Signs / Bed Placement 4. Nurse Assessment 5. HPI, ROS, Hx, PE What is the ED flow after orders are made? 1. Differential Dx 2. Physician orders > labs, imaging, procedures, medications 3. Results and ED course 4. Final Dx 5. Disposition What is the general documentation template? HPI > ROS > PHx > PE > ED course > Disposition Thyroid problem means.. Usually Hypothyroidism, sometimes hyperthyroidism [Show More]

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